Idaho State Tax Commission
ST-110
peTITIon for SaleS Tax reCordS reduCTIon
By a retail food Store
Business name
Idaho seller’s permit number
Federal Employer Identification Number
Address
(or Social Security number if sole proprietor with no
employees)
City
State
Zip
As a food store retailer primarily engaged in the business of selling food for home preparation, I request relief from the
responsibility of keeping detailed invoices for nontaxed sales. This petition is made under authority of Section 63-3624(d),
Idaho Code.
If this petition is granted, I agree to maintain the substitute forms of documentation (Form ST-111) required by the Idaho
State Tax Commission.
Check the nature of your retail food store.
Grocery store
Meat or fish market
Fruit and vegetable market
Dairy products store
Candy, nut or confectionery store
Other food store
(Specify)
Retail bakery
I certify that all statements I have made on this form are true and correct to the best of my knowledge.
Authorized signature
Date
Title
Phone Number
Mail to: Idaho State Tax Commission, po Box 36, Boise, Idaho 83722-0410
If you need help with this form, call the Tax Commission at (208) 334-7660 in the Boise area
or toll free at (800) 972-7660
for state use only
Your request for records reduction has been approved effective
.
Your request for records reduction has been denied. The reasons for this denial and information about your
right to appeal this decision are enclosed.
Idaho State Tax Commission, authorized signature
Title
Date
EFO00106
7-18-07